Tell us something good FEBRUARY 19, 2018 COMPASSION This week, we have some outstanding submissions from both patients and employees that continue our spotlight on COMPASSION. Take a look at the values listed under Compassion on the T.J. Pledge, and then read these kind words about our fellow T.J. team members. Please keep the notes coming! These messages help to inspire us all to show compassion to our patients, customers and team members every day. see all patients, family members, visitors, coworkers, physicians, and anyone else at T.J. as my customer recognize that each and every interaction I have at T.J. Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer ALECIA HUDSON & MELISSA WILLIAMS Pavilion Mammography During a recent procedure at the Pavilion, Alecia Hudson and Melissa Williams provided me with exceptional care! Not only did they explain everything that was happening, they continually asked me how I was doing and even held my hand. I cannot express how the simple act of them holding my hand calmed my nerves. Healthcare workers often forget that the things they see every day and consider no big deal are actually a BIG deal to the patient. I am sure Alecia and Melissa have both seen hundreds of these procedures, but they did not treat me like I was just another part of their work day, they genuinely cared for me, which made my experience the best that it could have been. Thank you both for your wonderful care! LAURA SPALDING, Women & Newborn Care After a complicated delivery, I witnessed a nurse provide such compassion to a family that forever changed me. Laura Spalding went above and beyond her duty as a nurse. Not only did she provide excellent care but she exceeded her responsibilty by providing such compassion to the family, and to me she made a difference. Often times there are moments that can be overlooked, but Laura deserves to know what a difference that one day made. OB/GYN, MAMMO & ULTRASOUND TEAMS, BECKY EVANS, DR. MICHAEL SARIDAKIS, AND TRACI ANDERSON On New Year s Day 2018, I found a lump in my left breast. I can still remember the fear and panic that I felt that day. The very next day, I called my OB/GYN s office at the T.J. Health Pavilion, and so began the process of figuring out what the lump was. Thankfully, my story had a happy ending as the lump was benign. I will never be able to thank the team at T.J. enough for being with me on this journey! The staff in mammogram and ultrasound were so kind. Becky in pre-op at the hospital answered all of my questions, and even told me to call her if I thought of anything else I needed. Dr. Saridakis and his surgical team were wonderful, and I can t say enough good about him and nurse Traci in his office. Thank you, T.J.! SHARE YOUR STORIES! We would love to hear how you and your team are showing compassion to include in an upcoming edition of the newsletter. Email your compassionate examples to bmatthews@tjsamson.org. Names will be drawn for prizes (including those who submit and those who the stories are about)! We look forward to sharing your great examples in upcoming issues. Oh and don't forget these submissions would also make great nominations for our Service Excellence Awards and Daisy Awards!
SERVICE EXCELLENCE Awards FEBRUARY February 20: Gallbladder Lunch & Learn February 23: Clinical Documentation Improvement and Integrity Seminar for Providers and Nurses February 27: Employee Bowling Night @ Ralphie's MARCH March 1: Cancer Support Group Meeting March 6: Opiod Overdose Detection & Nasal Narcan Administration Community Seminar March 19: Youth Substance Abuse Seminar March 22: T.J. Samson Women's Conference DO YOU KNOW SOMEONE WHO EXEMPLIFIES THE VALUES AND STANDARDS OF THE T.J. PLEDGE? Nominate your fellow co-workers for one of the TJRH Service Excellence Awards. You may pick up a form outside the hospital cafeteria, print the one in the back of this newsletter, or you can also submit it online via the T.J. Intranet. Award winners are announced monthly. Thank you for helping us to recognize our employees who strive for Service Excellence! If you have an important date or event that should be added, please email it to bmatthews@tjsamson.org. T.J. PATIENT ENCOUNTERS 2/10/18-2/16/18: 7,481 2/3/18-2/9/18: 7,587
WE ARE PROUD TO PARTICIPATE IN TM #LittleHatsBigHearts is the American Heart Association/American Stroke Association s campaign, in connection with The Children s Heartown Foundation, to collect knitted or crocheted baby hats. Care very Donna Farlee, Women & red Newborn Our Director, andwillvalerie Geralds, Women and Newborn The hats be distributed to babies born in hospitals across the Care countryappeared during February, which is American Heart Month. Coordinator, on WBKO's Midday Live last week. Paula Kennedy, Heart Walk Division Director, said, "You both did great and I love that communities are seeing how T.J. Samson Community Hospital is so involved and bringing awareness to Heart Disease! Be proud that you are the FIRST hospital to sponsor this campaign in Western Kentucky!!!" 2017, American Heart Association 9/17DS12715 Locally sponsored by: The American Heart Association and The Children s Heart Foundation co-fund the Congenital Heart Defect Research Awards. CHF also participates in AHA s Support Network and Little Hats, Big HeartsTM programs. Thank you, Donna and Valerie, for spreading the good news about this program. We appreciate you! Congratulations, Lori Mutter! From the Cardiology Department, we would like to announce that Lori Mutter, Registered Cardiac Diagnostic Sonographer (RDCS), has been promoted to Supervisor for Echocardiography in the Cardiology Department. Lori has been an Echo Tech for 20 years, registered the last 13 years. Lori was promoted to this position for not only taking care of the patients, but also for the endless hours and time she spends guiding and training the other echo techs. Lori has been the go-to for her coworkers along with the cardiologists as well. Lori has spent countless hours working on the many projects and changes the Cardiology Department has been through over the last two years. Lori and her team go above and beyond every day to take the best possible care of our cardiac patients. They truly know the meaning of team work. Left to right: Paula Kennedy, Dalton Waggoner, Susan Waggoner, Valerie Geralds and Donna Farlee Congratulations and thank you Lori and the Cardiology Team for all you do!
care. In Arizona, a hard drive containing patient information was missing from a desktop computer that was taken out of service. All told, the breaches impacted just 521 patients. But OCR s investigation, launched in 2013, found that Fresenius facilities repeatedly failed to implement policies and procedures to safeguard equipment from theft or encrypt patient information. It marks the first HIPAA settlement of 2018 and comes months after 21st Century Oncology paid $2.3 million for a 2015 data breach. FRESENIUS MEDICAL CARE PAYS $3.5M SETTLEMENT FOR FIVE SEPARATE DATA BREACHES IN 2012 One of the nation's largest dialysis providers has agreed to a $3.5 million settlement with the Office for Civil Rights for five separate data breaches that occurred in 2012. Fresenius Medical Care of North America, which operates more than 2,200 dialysis clinics, along with outpatient cardiac and vascular labs and urgent care centers, agreed to the settlement after an OCR investigation revealed the company failed to perform an accurate and thorough risk assessment, which led to five separate data breaches over a five-month period in 2012. The breaches, which were reported in 2013, were all linked to some version of theft, according to a resolution agreement (PDF). In Florida and Illinois, desktop computers containing patient information were stolen from two facilities. In Alabama, an unencrypted USB drive was stolen from an employee's The number of breaches, involving a variety of locations and vulnerabilities, highlights why there is no substitute for an enterprise-wide risk analysis for a covered entity, OCR Director Roger Severino said in an announcement. Covered entities must take a thorough look at their internal policies and procedures to ensure they are protecting their patients health information in accordance with the law. Fresenius has been implicated in several other investigations over the past several years including an investigation by the Department of Justice over a premium assistance program and an inquiry from the Kentucky Attorney General regarding potential fraud. In addition to the fine, Fresenius has entered a corrective action plan requiring it to conduct and submit to the Department of Health and Human Services an accurate and through assessment of the potential security risks. The company is also required to review and revise existing security procedures, implement a risk management plan, submit an encryption report and revise policies on device and media controls. Congratulations, Amber Fields! In last week s newsletter, we embedded a prize in an article about Malignant Hyperthermia. The first 50 employees who read the article and responded were rewarded with a ticket to the YMCA fundraiser drawing for a trip to the Caribbean. We are very pleased to announce that Amber Fields, one of our very own T.J. employees, was the YMCA's lucky Grand Prize winner! Congratulations and enjoy your vacation, Amber!
TJS Hand Hygiene 2018 Jan Dietary 88% EVS 86% Lab 75% Providers 69% Radiology 83% Rehab 90% Respiratory 100% Nursing SNU 83% ICU 94% Stepdown 92% Mother baby 100% ER-Glasgow 88% Urgent Cares 75% Dialysis 87% 2W 95% 3W/3S 100% 3C 100% TJS Clinics 82% Home Care 91% Overall nursing 91% Overall 88% HAND HYGIENE COMPLIANCE During our recent Joint Commission survey, we were asked to regularly update our staff on their hand hygiene compliance percentages. Infection Prevention will be providing these numbers to be posted in the newsletter each month. This will remind us all of the importance of proper hand hygiene. TJC Hand Hygiene 2018 Jan Ancillary Staff 86% Nursing BHU 100% ER 86% 2C 75% TJC Clinics 80% Overall nursing 88% Overall 88% Clean Hands Tent Cards Later this week, colorful new "Clean Hands Count" tent cards will be placed in patient rooms as they are prepared for new patients. These cards will share information about the importance of clean hands, and they suggest that patients "Ask for Safe Care, Ask for Clean Hands". This is a CDC initiative, and we are pleased to bring awareness to our patients that "Clean Hands Count". If you have any questions about these new tent cards, please contact Infection Prevention.
T.J. REHAB CELEBRATES NATIONAL CARDIAC REHAB WEEK! L to R: Beth Walden, RN, Bobby Fields, Shirley Parrish, Patsy Hale, Todd Dunn, John Vance, Ruth Pace, Karen Gilkey, RRT (Standing), Karon Reynolds Last week, the Cardiac Rehab team went above and beyond to celebrate with their patients during National Cardiac Rehab Week. Activities included decorating the Cardiac Rehab Department, posting facts about Cardiac Rehab in the department, and providing patients with healthy snacks on Wednesday. Each time the patients attended cardiac rehab during the week, they were entered into a drawing for baskets to be given away at the end of the week. The gift baskets included healthy snacks and gifts to enhance their heart healthy lifestyle. Standing: Beth Walden, RN, Bruce White. Seated: Harold Nuckols, Katina Padgett, Billy Hatfield, Bruce Edwards, Wendall Mosemann, Wally Devore, Karen Gilkey, RRT. Katina Padgett, 1st Place Gift Basket Winner L to R: Beth Walden, RN, Tom Wimmer, David White, Jim Price, Elaine Broady, Karen Gilkey, RRT. L to R: Beth Walden, RN, Walter Graham, Karen Patterson, Mary Hilton, Karen Gilkey, RRT Todd Dunn, 2nd Place Gift Basket Winner
TUESDAY, FEBRUARY 27 BOWLING BEGINS AT 5 P.M. For a $5 donation to the T.J. Employee Assistance Fund, enjoy two games of bowling. Gather a total of 5 T.J. teammates to form a bowling team and enjoy a fun night together! (Teams must include at least 2 males and 2 females. You may recruit team members outside of your department if you do not have both men and women in your department to play. All players must be current T.J. employees.) The winning team will have bragging rights and the Golden Bedpan Trophy! CONTACT HUMAN RESOURCES TO REGISTER YOUR TEAM. PLEASE INCLUDE YOUR TEAM NAME AND YOUR BOWLERS NAMES.
GALLBLADDER DISEASE: DEALING WITH STONES OUT HERE IN THE STICKS LUNCH & LEARN with DR. TODD MARION TUESDAY, FEBRUARY 20 12 TO 1 P.M. T.J. Health Pavilion Community Center 310 N.L. Rogers Wells Blvd., Glasgow Bring a sack lunch and drinks will be provided. One CEU for nursing professionals who attend. Please call 270.651.4522 or email mberger@tjsamson.org for more information.
Strength doesn t come from what you can do. It comes from OVERCOMING the things you once thought you couldn t. ~ Rikki Rogers Cancer Support Group Thursday, March 1, 2018 6 p.m. T.J. Health Pavilion Community Center The topic for the March Cancer Support Group is: Understanding the Differences in Imaging Tests Speaker: Steve Moffett, Director of Radiology at T.J. Regional Health Our quarterly Cancer Support Group is open to individuals affected by all types of cancer. The group is formed to give family, caregivers and survivors the support and strength to move forward together. You may contact the office of Dr. Donald Goodin and Dr. Yashpal Modi with T.J. Oncology and Hematology at 270.659.5893 or the office of Dr. Craig Tyree with Barren River Regional Cancer Center at 270.651.2478 to verify times and locations. Light refreshments will be served. RSVP to Amy by Wednesday, February 28 at 270.659.5893. 310 N.L. Rogers Wells Blvd. Glasgow, KY 270.659.5893 www.tjsamson.org
TJ CAFÉ MENU MONDAY 2/19/18 Pesto Grilled Chicken, Roasted Pork with Gravy, Buttered Egg Noodles, New Potatoes, Baked Apples, Roasted Broccoli, and Dinner Rolls TUESDAY 2/20/18 Meatloaf, Spinach Stuffed Mushrooms, Fresh Green Beans, Mashed Potatoes, Grilled Cabbage, Pinto Beans, Cornbread, and Rolls WEDNESDAY 2/21/18 TACO SALAD BOWLS!!! Choose Between Beef or Chicken, with Beans, Rice, and Assorted Toppings. THURSDAY 2/22/18 Beef Lasagna, Vegetable Lasagna, Garlic Sautéed Greens, Parmesan Baked Squash and Tomatoes, Caesar Pasta Salad, and Garlic Bread FRIDAY 2/23/18 Nashville Hot Chicken Sandwich, Baked Salmon, Macaroni and Cheese, Potato Wedges, Broccoli Salad, and Lemon Roasted Veggies For outside orders, please call ahead and we will happily prepare your lunch for you to pick up..270-651-4248
OPIOID OVERDOSE DETECTION AND NASAL NARCAN ADMINISTRATION COMMUNITY SEMINAR Tuesday, March 6 th, 2018 12:00 p.m. 1:00 p.m. T.J. Pavilion Community Center No need to register. If you have questions call Chas Taylor, ASAP Program Director 270/651-4240
Youth Substance Abuse: What You Need to Know AGENDA March 19, 2018 8:30 11:30 a.m. cst Pavilion Community Center Call to Order Introduction to Barren, Hart & Metcalfe KY ASAP Introduction to Geoff Wilson, LCSW, LCADC Current Trends with Youth Substance Use Signs Symptoms The Impact Use has on Adolescent Brain Development The Impact Use has on Family Functioning/Systems How to Deliver Anti-Drug Education Elementary Level Middle School Level Adjournment
Thursday, March 22, 2018 8 a.m. to 4 p.m. Cave City Convention Center Presented in partnership with Glasgow BPW Registration includes: Keynote Speaker: Aly Taylor from Rattled, the popular show on TLC Guest Speaker: Molly Matney, Miss Kentucky 2017 Health & Wellness Education Sessions Health Screenings Light Breakfast Lunch Refreshments Style Show featuring Sherri Shines Award Winners ALY TAYLOR Keynote Speaker Great Shopping & Health Information Vendors Lots of Door Prizes! T.J. SAMSON WOMEN S CONFERENCE REGISTRATION FORM Name: Street Address: $25 Special Regsitration for employees & volunteers Please check one: State: Zip: T.J. Employees City: Samsonites Phone: Email: Auxiliary Volunteers Registration deadline: March 15, 2018 Please remit with payment to: T.J. Samson Women s Conference 1301 N. Race Street Glasgow, KY 42141 Questions: Please contact Bethany Matthews at 270.651.4534 or bmatthews@tjsamson.org.
Sherri Shines Award Do you have a wonderful woman in your life who inspires you? This great lady may be the rock in your family, the best friend you can t live without, or a sweet neighbor who has been through many difficulties in her life and has risen above them all. We want to honor two deserving ladies in our community who demonstrate the power of inspiration. We want to pamper them with relaxation, and a day to make them feel special in every way. This year at our T.J. Samson Women s Conference, we will be rewarding two special inspiring women with complete makeovers! The Sherri Shines Awards will be given in memory and in celebration of Sherri Davis. Sherri was an outstanding much-loved employee at T.J. Samson who passed away following a brave battle with cancer. If you would like to nominate someone, please complete this form and mail or email it to us by Friday, March 2. Your Name: Your Phone Number: Your Email: Name of the inspiring woman you are nominating: Please explain why you are nominating this special woman and why this makeover would make a difference in her life. Please include a photo of the lady you re nominating so we can display it on a PowerPoint at the conference if your nomination is chosen. Thank you for your submission! Please mail or email your nomination by Friday, March 2 to: Mail: T.J. Samson, ATTN: Bethany Matthews 1301 North Race Street Glasgow, KY 42141 Email: bmatthews@tjsamson.org
T.J. HEALTH PAVILION 310 N.L. Rogers Wells Blvd., Glasgow Call 270.651.1111 for general information. Primary Care Pod A: 270.651.6791 Nephrology: 270.659.5965 Dr. Clouse Dr. Mallory Dr. S. Reddy Megan Bow, APRN Pat Spears, APRN Neurology & Sleep Medicine: 270.659.5945 Primary Care Pod B: 270.659.5870 Dr. Koury Dr. Gilson Dr. Miller Dr. Neuhaus Dr. Turner Oncology: 270.659.5890 Haley Pace, APRN Dr. Goodin Dr. Modi Melanie Isbell, APRN Primary Care Pod C: 270.659.5885 Pain Management: 270.659.5945 Dr. A. Campbell Dr. Jessie Matney Jessica Miller, APRN Pulmonology: 270.659.5835 Cardiology: 270.659.5970 Dr. Kummerfeldt Dr. Waheed Laura Howard, APRN Amanda Parsons-Cole, APRN Dr. Nair Dr. Rajan Dr. V. Reddy Dr. Salifu Lisa DuCoff, APRN Nancy Jo Houchens, APRN Urology: 270.659.5965 Brooke Matson, APRN Urgent Care at the Pavilion: 270.659.5555 General Surgery: 270.659.5945 Dialysis: 270.659.5580 Dr. Klapheke Dr. Marion Dr. Saridakis Laboratory: 270.659.5584 Gynecology & Obstetrics: 270.651.9755 Pavilion Pharmacy: 270.659.5599 Dr. Craddock Dr. Dirig Dr. Thorpe Nellie Bell, APRN, CNM Regina Mash, APRN, CNM Radiology: 270.659.5570 Casey Sacia, APRN Rehab Services: 270.659.5660 Gynecology: 270.651.6791 Respiratory: 270.659.5540 Dr. Gibson Women s Imaging: 270.659.5591 ADDITIONAL SERVICE LOCATIONS T.J. Health Cave City Clinic: 270.773.2111 T.J. Health Greensburg Clinic: 270.973.5439 Pediatrics: Alisha Risen, APRN T.J. Health Columbia: 270.384.4753 T.J. Health Russell Springs Clinic: 270.858.3636 T.J. Health Columbia Behavioral Health Unit: Latasha Gilpatrick, APRN Nikki Loy, APRN 270.384.7516 Dr. Kinnaman Dr. Siady Dr. Rodocker T.J. Health Tompkinsville Clinic: 270.487.0720 T.J. Health Columbia Clinic: 270.384.0451 Teresa Sheffield, APRN Kandace Webster, APRN Alisha Risen, APRN Pulmonary: Dr. Kummerfeldt Laura Howard, APRN T.J. Home Health & Hospice: 270.651.4430 Amanda Parsons-Cole, APRN T.J. Long Term Care Team: 270.651.4451 T.J. Health Columbia Primary Care: 270.384.4764 Dr. A. Kiser Stacey Hiser, APRN Micah Tracy, APRN Pat Spears, APRN Dr. Kiteck Kandace Webster, APRN Cardiology: Dr. Rajan T.J. Samson Family Medicine: 270.651.4797 Sleep: Kim Bowman, APRN Dr. Fisher Dr. House OB/GYN: Maggie Stanley, APRN, CNM T.J. Sleep Clinic: 270.651.1888 Dr. Turpen Kim Bowman, APRN Amy Thornbury, APRN T.J. Health Edmonton Clinic: 270.432.4800 Dr. Dunn Connie Prostko, APRN Khabeer Abdul, APRN T.J. Wound Care: 270.651.4325 T.J. Health Gastrointestinal Clinic: 270.651.7168 Walmart Clinic: 270.678.3278 Tiffany Frye, APRN T.J. Samson Community Hospital: 270.651.4444 2/18
T.J. EMPLOYEE DISCOUNTS T.J. employees receive discounts at the following Glasgow businesses by showing their T.J. name badge. AT&T Receive 25% off base rates. AUTO SPA COMPLEX Receive $2 off the $20 or $28 car wash. AWARDS, INC. Receive 15% off your purchase of gift items. Brides who register receive a free gift! (Excludes trophies and plaques.) NEW CENTURY BUFFET Receive 10% off your purchase. NEW! PAPA JOHN'S PIZZA Receive 15% off all online pizza deals and specials with code TJ15 at papajohns.com. Enter the code before you place your order. Online only. RALPHIE'S FUN CENTER Receive free shoe or skate rental. NEW! BAILEY GIBSON SERVICE DEPT. Receive 15% off service. BLUEGRASS CELLULAR Receive 15% off basic service. BOUTIQUE 218 at JORDAN'S SALON Receive 10% off clothing at Boutique 218. EXTREME FITNESS Individual: $21 Family: $26 Access Key Card: $10 KENTUCKY ONSITE OIL CHANGE Receive 15% off your total. LONG JOHN SILVERS / A&W Receive 20% off regular-priced purchase. MARCO'S PIZZA Receive 30% off regular-priced purchase. MARY ANNE'S HALLMARK Receive 15% off on Wednesdays. SERENITY SALON & SPA Receive 15% off salon services. SHOGUN BISTRO Receive 15% off your food purchase. SIDELINES CASUAL DINING Receive 10% off your purchase. SWEETHEART BAKERY Receive 10% off your purchase. T.J. CAFE Employee discount in employee cafeteria. T.J. GIFT SHOP Receive 10% off your purchase. (Some exclusions apply.) Payroll deduction available for employees. WITTY'S COMPLETE CAR CARE Receive $5 off lube/oil/filter change. If you are aware of other discounts that T.J. employees receive from local businesses, please email bmatthews@tjsamson.org. Rev. 2/18/2018
TJRH Service Excellence Award Nomination Form Nominee s Name (please print): Nominee s Department: Date: Nominee s Supervisor: Choose One: Hospital Pavilion Columbia Clinics Clinic Location: Choose Area(s) of service that the nominee consistently delivers service that reflects T.J. Regional Health s Service Excellence standards of: Compassion Cooperation Collaboration Communication Change Champion Provide a detailed description of how the nominee exemplifies the standards listed on the pledge. Refer to T.J. Pledge for standards of behavior. Please be sure to provide specific examples of service. Would you like to remain anonymous? If no, please provide your name: For Office Use Only: Department Director Approval: HR Approval:
Mission TJ Regional Health will promote and provide for the health and wellness of the communities we serve and the healthcare professionals who serve them. Vision TJ Regional Health will utilize available resources to anticipate and exceed the healthcare needs of the region with a focus on quality and compassion. Core Values Service Excellence Responsive Vision Innovation Compassion Ethics
T.J. PLEDGE I WILL SHOW COMPASSION: see all patients, family members, visitors, coworkers, physicians, and anyone else at T.J. as my customer recognize that each and every interaction I have at T.J. Regional Health matters show kindness and compassion towards my customers at all times be sensitive to the personal and private needs of every customer I WILL COOPERATE WITH OTHERS: maintain zero tolerance for abusive behavior listen and be willing to accept fault when I make a mistake never underestimate the power of an apology refrain from blame and judgment bring a sense of calm to stressful situations I WILL COLLABORATE WITH OTHERS: value myself and every coworker as an equal part of one GREAT team working together treat others in a way that I would like to be treated participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults speak honestly, seek truth, and act with integrity towards my teammates value the uniqueness and expertise that each team member contributes to the whole meet the need of the moment, regardless of whether or not it is considered part of my job I WILL COMMUNICATE: smile - at everyone always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away escort any customer in need (visitors, patients) to their destination I WILL ADAPT TO CHANGE: be a part of the solution when I am presented with a challenge embrace change and set the example for those around me accept openly when there are changes that T.J. Regional and/or I have no control over manage the expectations of others by explaining duration and next steps as often as needed I WILL BE A CHAMPION: serve with passion view myself as an owner of T.J. Regional Health and act accordingly take responsibility for the physical appearance of T.J. Regional Health, including my work area go out of my way to daily thank and compliment my customers and coworkers dare to make a difference and be exceptional constantly try to improve myself and T.J. Regional Health speak positively about T.J. Regional, while at work and in public places outside of work